MICHAEL PRODROMOU (M.D.) – Internal Medicine Physician, NPI 1093009086

MICHAEL PRODROMOU (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD14594 (RI). The NPI Number for MICHAEL PRODROMOU (M.D.) is 1093009086

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PRODROMOU (M.D.)
NPI
1093009086
Phone
(401) 784-4923
Address
17 VIRGINIA AVE
Enumeration Date
7 June 2011
Last Update Date
27 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6316285000
Graduation Year
2011 (15 years ago)
PAC ID
4082839030
Group Practice PAC ID
8921999087
Professional Enrollment ID
I20180612000075
Address ID
NY117401624GR5XXXXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

98 CRITICAL CARE (INTENSIVISTS) in RI

Provider Addresses for MICHAEL PRODROMOU (M.D.)

  • 17 VIRGINIA AVE

    SUITE 107

    PROVIDENCE, RI 029054406

    Phone: (401) 784-4923

    Fax: (401) 784-4902

    Type: Mailing

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-3985

    Fax: (401) 444-3986

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180612000075ICritical Care (Intensivists)NYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes802452$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes697121$0
94729Test to examine how well the lungs exchange gases193172$0
94726Test to determine lung volumes using sensors191172$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes173120$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921999087View full group profile
NameSpecialtyState
Nurse PractitionerNY
Cardiovascular Disease (Cardiology)PA
Nurse PractitionerNY
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyNY
Cardiovascular Disease (Cardiology)NY
Internal MedicineNY
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
Orthopedic SurgeryNY
Cardiovascular Disease (Cardiology), Internal MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL PRODROMOU (M.D.) in U.S. healthcare records?
The official identifier for MICHAEL PRODROMOU (M.D.) is NPI 1093009086.
Is MICHAEL PRODROMOU (M.D.) shown as active in public data?
Registry records indicate MICHAEL PRODROMOU (M.D.) maintains an active NPI.
How would a patient describe MICHAEL PRODROMOU (M.D.)'s focus?
For MICHAEL PRODROMOU (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL PRODROMOU (M.D.)?
Travel planning: use Providence, Rhode Island as the reference point for MICHAEL PRODROMOU (M.D.), then confirm.
When was this NPI issued?
Enumeration for MICHAEL PRODROMOU (M.D.) is noted as June 7, 2011 where the registry provides it.

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